Gulf Coast Physical Medicine PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GULF COAST PHYSICAL MEDICINE PLLC

Practice address

8800 Katy Fwy
Suite 105
Houston, TX 77024-1633

Phone

(832) 831-8656

NPI assigned

Jul 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kanon Frank Oswald, D.C.

Title

Owner

Phone

(281) 948-4111

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1699183145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 KATY FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241645",
            "telephone_number": "832-831-8656",
            "fax_number": "832-831-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 KATY FWY",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241633",
            "telephone_number": "832-831-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "KANON",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-948-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Pathology Associates PLLC
• Gulf Coast Pathology Program PLLC
• Gulf Coast Pathology Program PLLC
• Gulf Coast Pathology Program PLLC
• Gulf Coast Pathology Program PLLC
• Gulf Coast Primary Care PLLC
• Gulf Coast Procedure Center LLC
• Gulf Coast Professional Medical Services, PLLC
• Gulf Coast Radiology Limited
• Gulf Coast Specialty Providers, PLLC

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.